• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.298-307
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• 2014

본 연구는 남, 여 알코올중독자의 외상경험을 살펴보고, 외상경험의 요인을 파악함으로써 사회복지의 실천적 토대를 제공하는 것을 목적으로 하였다. 이를 위해 220명의 알코올중독자를 대상으로 설문조사를 실시하였고, 위계적 회귀분석을 실시하였으며 그 연구결과는 다음과 같다. 첫째, 외상경험 내용을 살펴보면 남성의 경우 아동기 성적학대, 살아오면서 겪을 수 있는 외상(친밀한 사람의 자살, 사망, 질병, 가족분리)의 학대경험이 여성보다 많게 파악되었다. 반면 여성의 경우 아동기 신체적 학대, 정서적 학대, 성적 학대, 성인기 신체적 학대, 정서적 학대, 성적 학대, 살아오면서 겪을 수 있는 외상(사기, 신체적 방임, 유산)의 학대경험이 남성보다 많게 파악되었다. 또한 남성, 여성 알코올 중독자 모두 경제적 곤란의 외상경험을 한 것으로 나타났다. 둘째, 위계적 회귀분석 결과 남성 알코올중독자의 학력과 첫 음주연령이 외상경험에 영향을 주는 요인으로 확인되었다. 여성 알코올중독자의 경우 학력, 종교, 가족력, 재발경험, 병식이 외상경험에 영향을 주는 요인으로 확인되었다. 이러한 결과를 바탕으로 알코올중독자의 회복을 고취하기 위한 실천적 함의를 논의하였다.

• 한국콘텐츠학회논문지
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• 제13권4호
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• pp.230-238
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• 2013

본 연구는 신체적, 성적 학대의 외상경험이 있는 여성알코올중독자들의 외상경험과 외상 후 스트레스 증상에 초점을 맞추어 알코올중독 재발위험성에 영향을 미치는 매개변인을 파악하여 여성알코올중독자들을 재발에 이르게 하는 스트레스대처와 음주기대의 심리적 요인을 이해하고, 알코올중독 사회복지 실천현장의 실천적 방안을 모색하는데 그 목적을 두고자 하였다. 분석결과 첫째, 연구대상자의 신체적, 성적 외상경험관련 특성은 18세 이전 지인에 의한 신체적 성적 학대경험이 18세 이후의 경험보다 많았다. 둘째, 연구모형의 분석에서 총 10개의 직접경로 중 8개의 경로가 통계적으로 유의하였고, 셋째, 매개변수를 통한 간접영향에 대한 검증결과 외상 후 스트레스 증상, 문제 중심 대처, 정서 중심 대처, 음주기대를 매개로 하는 6개의 간접경로 중 4개의 경로가 유의하였다. 이와 같은 연구결과를 바탕으로 여성 알코올중독자의 재발을 예방하기 위한 구체적인 실천적 방안과 함의를 제시하였다.

• 지역사회간호학회지
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• 제29권2호
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• pp.194-205
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• 2018

Purpose: The aim of this study is to investigate and elucidate actual experiences of alcoholics' spouses using familial social gatherings. Methods: A total of nine women whose alcoholic husbands were attending Al-Anon meetings held in Y Cathedral in S District of Seoul were included in this study. Data collection of this study was conducted through in-depth interviews with participants from September 24 to November 30, 2015. Data analysis was conducted at the same time as the data collection, and analysis was performed according to the method suggested by Colaizzi(1978). Results: We categorized the participants' experiences into five themes including 'Trapped in a Deep Dark Tunnel', 'Life of Walking in an Endless Tunnel', 'Reaching a Dead End', 'Walking towards a Ray of Light', 'Finding Oneself on a Strange Path'. Conclusion: The results of this study provide an understanding of the essential structure of the life experiences of alcoholic spouses using familial social gatherings.

• 감성과학
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• 제20권4호
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• pp.1-14
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• 2017

본 연구는 자기공명영상 기법을 이용하여 알코올 중독자의 정서 인식과 관련된 뇌 활성화 특성을 관찰하였다. 입원치료 중인 알코올 중독자 18명과 이들과 나이, 성별, 교육 수준 등이 유사한 비중독자 16명이 실험에 참여하였다. 참여자들은 뇌 영상 촬영 동안에 얼굴 사진을 보고 얼굴 표정 정서의 강도를 평정하였다. 연구 결과, 행동 반응에서는 알코올 중독자와 비중독자 간에 유의한 차이는 나타나지 않았다. 뇌 반응 결과, 알코올 집단에서는 비중독자 집단과 비교하여 얼굴 표정 정서 인식 동안에 정서 처리와 관련된 편도체/해마는 더 적게 활성화되었으며, 얼굴 정보 처리와 관련된 방추이랑, 시 공간 탐색과 관련된 이마엽 및 마루엽 영역은 더 크게 활성화되었다. 반면, 알코올 집단에서 혀이랑/방추이랑(BA 19), 시각적 탐색에 관여하는 가운데이마이랑(BA 8/9/46), 그리고 시공간적 정보 처리에 관여하는 위마루소엽(BA 7)이 더 크게 활성화 되었다. 본 연구를 통해 알코올 중독자의 정서 인식과 관련된 뇌 활성화 특성을 확인할 수 있었다.

• 한국산학기술학회논문지
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• 제14권9호
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• pp.4412-4420
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• 2013

알코올은 인체에 영향을 미치지 않는 곳이 없을 정도로 여러 질환들을 야기 시킨다. 이로 인해 알코올중독과 관련된 여러 연구가 진행되고 있으나 알코올중독환자의 피부질환에 관련된 연구는 국내에서 찾아보기 어렵다. 이에 민감한 피부를 가진 여성알코올중독환자의 피부질환중 소양증에 관한 연구를 하였다. 2013년 05월 1일~2013년 5월 20일까지 전국의 알코올중독치료병원 4곳에서 여성알코올중독환자 114명의 설문지와 청주, 성남시 일반인 106명의 설문지를 토대로 비교연구를 하였고, 연구 결과 알코올중독환자가 일반인에 비해 소양증 점수가 더 높았고, AUDIT-K점수와 소양증점수는 양의 상관관계가 있는 것으로 나타났으며, 음주주기, 음주량도 소양증에 관련이 있는 것으로 나타났다. 이 연구 자료가 알코올중독 환자의 피부치료의 기초자료로 활용되며 앞으로 알코올중독환자의 피부연구의 활성화를 기대한다.

• 대한한의학회지
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• 제17권2호
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• pp.318-330
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• 1996

We had been investigated the effect of ear acupuncture in alcoholics, but in Kang won do province never we have been investigated. so then in Sangji university oriental hospital from Mar. 1. 1995 to Feb. 28. 1996. we clinically analized 102 alcoholics treated The results were summarized as follow: 1. In Age distribution, 40s were the top as 28.4% and next 30s, 50s, 60s 70s, below 3Os. In Sex distribution, these were 92 person in male, 10 person in female. 2. Marrige Status revealed in descending order ; married, single, divorced Sibling order distribution in descending order; eldest son, middle son, youngest son, only son 3. Distribution of education in descending order ; high school, middle school, primary school, collage and graduate school, illiterate 4. Distribution of occupation in descending order; farmer, labor, merchent, salaried and inoccupation, service 5. Distribution of religion in descending order ; none, buddism, protestantism, catholicism 6. Distribution of family history of alcoholism; yes(24.5%), no(69.6%) 7. Distribution of onset of drinking in descending order ; 20s, below 20s, 30s and 40s, 50s 8. Distribution of duration of drinking in descending order ; 20-29 years, 10-19 and below years, 40-49 years, 30-39 years 9. Distribution of the reason of drinking in descending order ; habbit, business and reduce of stress, no reason, syndrome of stop drinking 10. Distribution of frequency of drinking in descending order ; daily, four or five times a week, irregularly, once a week, two or three times a week 11. Distribution of amount of drinking in descending order ; two bottles, one bottle, three bottles, half, bottle above four bottles 12. Distribution of Chief Complaint of Alcohol in descending order ; no appetite and anorexia, diarrhrea insomnia, fatigue, vomitting, tremor, drinking water, hallucination, abdominal pain, constipation 13. Distribution of total MAST score in descending order ; 26-48 score, 13-18 score, 19-25 score, 8-12 score, 0-7 score 14. In the treatment effects according to MAST score, these were complete stop drinking 18.0%, improved 53.0%, unchanged 29.0%. 15. Distribution of liver function test and treatment effects in descending order ; ALAT, ASAT, GGTP, Trigliceride, Alk-phosphatase and Total bilirubin The treatment effects in ear acupuncture were 70.5% effective ones ; stop drinking 17.6%, improved 52.9%. 17. These were headache, nausea, vomitting sense, weakness in revealing symtoms after treatment, but no severe side effect. 18. Distribution of the times of onset in the change of taste in descending order; 3-5 times, below 2 times and above 6 times.

• Journal of Nutrition and Health
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• 제6권2호
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• pp.17-24
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• 1973

The function of the liver is so complicated and important that various Hepatic diseases are occured due to functional retardation of liver. Above all, the incidence of Hepatitis and liver cirrhosis among Koreans has shown an increasing tendency recently. 113 cases of Hepatitis and 125 cases of liver cirrhosis which had been admitted, more than 10 days, to KOREA Hospital between November, 1968 and July,1972, were studied through clinic charts. (A) Hepatitis 1) of the 113 cases; 54 cases (47.7%) were Infectious hepatitis; 40 cases (35.4%) were chronic hepatitis 2) of the 113 cases ; 80 cases (70.8%) were male and 33 cases (29.2%) were female; the sex ratio was 2.4 : 1 The ages of the onset of the disease was as follows; 34 cases (30.1%) were among $30{\sim}40$. 3) Patients had abdominal pain (77.9%) anorexia (66.4 %) and general weakness(82.3%) as symptom and jaundice (94.7%) hepatomegaly (76.1%) as sign 4) 57 cases of all had complication 26 cases (45.6%) were parasite, 12 cases (21.1%) were diabeties mellitus. 5) 99 casea (87.6%) of all were improved and recovered. (B) Liver Cirrhosis 1) Etiologic factors are hepatitis (56cases) and alcoholics (28 cases). 2) of the 125 cases, 84 cases (67.2%) were male and 41 cases (32.8%) were female; the sex ratio was 2 : 1 The age of the onset of the disease was as follows; 47 cases (37.6%) were among 41-50. 3) Patients had symptoms: indigestion (64.8%), Abdominal pain (60%), general wenkness (35.2%) and signs; Hepatomegaly (61.6%) Ascites (59.2%), Jaundice(56.8%). 4) 107 cases of all had complications; Hepatic coma was 20 cases (18.7 %), Ascites was 16 cases (15.0%). 5) 69 cases (55.2%) were improved. (c) Treatment of Hepatitis and cirrhosis. 1) Absolutely (bed) rest. 2) A well-balanced diet adequate in calorie value, showed be given (High Carbohydrate, High Protein, High vitamin diet) if the patient's appetite is good and easily digested. 3) Drugs; (1) Vitamins (2) Digestants (3) Tranquize

• Journal of Korean Neurosurgical Society
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• 제38권1호
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• pp.28-34
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• 2005

Objective : This study is performed to compare older with younger groups about clinical characteristics and overall outcome of treatments for the intracranial aneurysms. Methods : We retrospectively investigated 633 patients with cerebral aneurysms who were admitted to our institute from January 2000 to May 2004. The authors divided the patients of cerebral aneurysm into two groups, one the third, fourth decades and the other eighth, ninth decades, analyzed clinical characteristics and overall outcome of treatments. Results : There were 57 patients [9.0%] under 39years old and 58 patients [9.2%] over 70. The female to male sex ratio was 0.5 : 1 in the younger group[YG] and 7.3 : 1 in the older group[OG], showing a female predominance with increasing age. In the YG, aneurysms were found in anterior communicating artery[A-com] [44.8%], middle cerebral artery [31.0%]. In the OG, aneurysm of posterior communicating artery [30.1%] was most common followed by that of A-com [26.9%]. More smokers and alcoholics were found in the YG. Older age was related to poor Hunt-Hess grade, Fisher's grade on admission, high incidence of unruptured aneurysms, and endovascular surgery. There was a higher prevalence of hypertension, intraventricular hematoma, hydrocephalus, and rebleeding in the preoperative state in the OG and postoperative complications including hydrocephalus, subdural fluid collection, and systemic complications. Overall outcome was poorer with advancing age [p=0.01]. Conclusion : The patients with aneurysms in the YG have distinct characteristics compared to those in the OG. Because of a good clinical grade on admission, a thin subarachnoid clot, and Low incidence of perioperative complications, the overall outcomes of the young patients were better than those of the old patients.

• Asian Pacific Journal of Cancer Prevention
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• 제16권10호
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• pp.4409-4419
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• 2015

The Bhopal gas tragedy involving methyl isocyanate (MIC) is one of the most horrific industrial accidents in recent decades. We investigated the genotoxic effects of MIC in long-term survivors and their offspring born after the 1984 occurrence. There are a few cytogenetic reports showing genetic damage in the MIC-exposed survivors, but there is no information about the associated cancer risk. The same is true about offspring. For the first time, we here assessed the micronucleus (MN) frequency using cytokinesis-blocked micronucleus (CBMN) assay to predict cancer risk in the MIC-affected population of Bhopal. A total of 92 healthy volunteers (46 MIC-affected and 46 controls) from Bhopal and various regions of India were studied taking gender and age into consideration. Binucleated lymphocytes with micronuclei (BNMN), total number of micronuclei in lymphocytes (MNL), and nuclear division index (NDI) frequencies and their relationship to age, gender and several lifestyle variabilities (smoking, alcohol consumption and tobacco-chewing) were investigated. Our observations showed relatively higher BNMN and MNL (P<0.05) in the MIC-affected than in the controls. Exposed females (EF) exhibited significantly higher BNMN and MNL (P<0.01) than their unexposed counterparts. Similarly, female offspring of the exposed (FOE) also suffered higher BNMN and MNL (P<0.05) than in controls. A significant reduction in NDI (P<0.05) was found only in EF. The affected group of non-smokers and non-alcoholics featured a higher frequency of BNMN and MNL than the control group of non-smokers and non-alcoholics (P<0.01). Similarly, the affected group of tobacco chewers showed significantly higher BNMN and MNL (P<0.001) than the non-chewers. Amongst the affected, smoking and alcohol consumption were not associated with statistically significant differences in BNMN, MNL and NDI. Nevertheless, tobacco-chewing had a preponderant effect with respect to MNL. A reasonable correlation between MNL and lifestyle habits (smoking, alcohol consumption and tobacco-chewing) was observed only in the controls. Our results suggest that EF and FOE are more susceptible to cancer development, as compared to EM and MOE. The genotoxic outcome detected in FOE reflects their parental exposure to MIC. Briefly, the observed cytogenetic damage to the MIC-affected could contribute to cancer risk, especially in the EF and FOE.

• 한국치위생학회지
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• 제12권1호
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• pp.123-133
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• 2012

Objectives : This study was performed to understand smoking condition and to investigate the relations among knowledge regarding smoking and oral hygiene, awareness of anti-smoking policy, and self-esteem, to provide fundamental basis, developing programs for smoking prevention and anti-smoking. Methods : From September 7, 2010 to September 16, 2010, questionaire survey was conducted for 566 female university students studying dental hygienics at a local district in Jeollanam-do. Collected data was analyzed by Chi-square test, t-test, one way ANOVA, Scheffe multiple range test, Perason's correlation test, and stepwise multiple regression test. Results : 1. Smoking condition of study subjects on general characteristics showed 17.1%, where 14.0% of previous smoking history, and 68.9% of currently nonsmoker. 2. Analysis on the knowledge related to smoking and oral hygiene, awareness of anti-smoking policy, and self esteem on the general characteristics of study subjects have shown better awareness of anti-smoking policy in non-alcoholics. Significant difference was found in knowledge about smoking and awareness of anti-smoking policy according to current resident status, but no difference found in self-esteem. Higher academic grade was related to higher awareness of anti-smoking policy and better ics. aalcell. Better health, but no diffeoral hygiene were related to better awareness of anti-smoking policy, and bewhich were statistically significant. Favorable interpersonal self-estehip was related to better awareness of anti-smoking policy. 3. Analysis on knowledge regarding smoking related health and oral hygiene, awareness of anti-smoking policy, and self-esteem showed higher level of anti-smoking knowledge in non-smoking group(60.44) compared to currently smoking group or group with previous history of smoking, and better awareness of anti-smoking policy in non-smoking group(53.54) than other groups, which was statistically significant. 4. Correlation analysis among smoking related knowledge, awareness of anti-smoking policy, and self-esteem has found relatively high correlation between smoking related knowledge and awareness of anti-smoking policy, which was statistically significant(r=0.481, p<0.001). 5. Among factors influencing awareness of anti-smoking policy, higher level of smoking related knowledge and satisfaction to specialty was related to higher awareness of anti-smoking policy which was lower in current smoker than past smoker, and higher academic grade was related to higher awareness of anti-smoking policy. Conclusions : Following results emphasize the need to establish a novel curriculum by which effective programs for smoking prevention and education of anti-smoking specialist could be provided as well as promoting coaching anti-smoking activity.